2013 Chapter Board of Directors Proxy

The undersigned member of the Long Island Chapter of the National Multiple Sclerosis Society hereby acknowledges receipt of the Notice of Board of Trustees Meeting to be held on March 11, 2013 and does hereby appoint Anthony Acampora, Chair of the Governance Committee, PROXY for the undersigned, with the power of substitution, for and in the name of the undersigned, to vote at the Meeting of the Board of the National Multiple Sclerosis Society, Long Island Chapter, to be held at the Board Meeting on March 11, 2013 or any adjournment or adjournments thereof, for the election of Directors, and upon such other matters as may properly come before the Meeting. Said PROXY is directed to vote as follows.

The PROXY will be voted in accordance with any specification made. In the absence of contrary instructions or specifications, this PROXY will be voted for the election of Directors. This PROXY revokes any prior PROXY by the voter.